Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes

被引：12

作者：

Franco, Antonio ^{[1
,2
]}

Ditonno, Francesco ^{[1
,3
]}

Feng, Carol ^{[1
]}

Manfredi, Celeste ^{[1
,4
]}

Sturgis, Morgan R. ^{[1
]}

Farooqi, Mustafa ^{[1
]}

Del Giudice, Francesco ^{[5
]}

Coogan, Christopher ^{[1
]}

Ferro, Matteo ^{[6
]}

Zhang, Chao ^{[7
]}

Wu, Zhenjie ^{[7
]}

Yang, Bo ^{[7
]}

Wang, Linhui ^{[7
]}

Autorino, Riccardo ^{[1
]}

机构：

[1] Rush Univ, Dept Urol, Chicago, IL 60612 USA

[2] Sapienza Univ, Sant Andrea Hosp, Dept Urol, I-00189 Rome, Italy

[3] Univ Verona, Dept Urol, Azienda Osped Univ Integrata Verona, I-37126 Verona, Italy

[4] Univ Campania Luigi Vanvitelli, Dept Woman Child & Gen & Specialized Surg, Urol Unit, I-80138 Naples, Italy

[5] Sapienza Univ Rome, Policlin Umberto Hosp 1, Dept Maternal Infant & Urol Sci, I-00161 Rome, Italy

[6] IRCCS, European Inst Oncol IEO, Div Urol, I-20141 Milan, Italy

[7] Naval Med Univ, Changhai Hosp, Dept Urol, Shanghai 200433, Peoples R China

来源：

CANCERS | 2023年 / 15卷 / 18期

关键词：

kidney surgery; robotic urologic surgery; robot-assisted; upper tract urothelial carcinoma; ureterectomy; TRACT UROTHELIAL CARCINOMA; KIDNEY-SPARING SURGERY; BLADDER CUFF EXCISION; RENAL-FUNCTION; ONCOLOGIC OUTCOMES; DISTAL URETER; IMPACT; CHEMOTHERAPY; NOMOGRAM; PLATFORM;

D O I：

10.3390/cancers15184585

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Simple Summary Minimally invasive radical nephroureterectomy is gaining momentum among upper tract urothelial carcinoma management by offering oncological radicality and less surgical morbidity. Long-term oncological outcomes suggest that it is a safe and effective treatment option for upper tract urothelial cancer.Abstract The gold standard treatment for non-metastatic upper tract urothelial cancer (UTUC) is represented by radical nephroureterectomy (RNU). The choice of surgical technique in performing UTUC surgery continues to depend on several factors, including the location and extent of the tumor, the patient's overall health, and very importantly, the surgeon's skill, experience, and preference. Although open and laparoscopic approaches are well-established treatments, evidence regarding robot-assisted radical nephroureterectomy (RANU) is growing. Aim of our study was to perform a critical review on the evidence of the last 5 years regarding surgical techniques and outcomes of minimally invasive RNU, mostly focusing on RANU. Reported oncological and function outcomes suggest that minimally invasive RNU is safe and effective, showing similar survival rates compared to the open approach.

引用

页数：13

共 73 条

[31] Renal function recovery after radical nephroureterectomy for upper tract urothelial carcinoma [J].